RN PRN (Surgical Services)

QUALIFICATIONS

Education

• Graduate of an accredited school of nursing
• Graduate of a formal perioperative nursing course or documented on-the-job training

Experience/Skills

• Preferably possesses at least one year experience in a clinical setting
• Possesses circulating and/or scrubbing duty experience
• Performs nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practice
• Continuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing education
• Proficiently reads, writes, and understands English
• Accurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and procedures
• Accurately hears and follows verbal instructions
• Pushes and pulls heavy objects such as gurneys, patient beds and OR beds
• Lifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 pounds

Required Licenses/Certifications

• Registered Nurse licensed to practice in the state of Indiana
• CPR
• ACLS

Working Conditions

• Works in an air-conditioned environment with a temperature of 65ºF-72ºF and humidity of 45%-55%
• Works in temperatures up to 85ºF-90ºF when assigned to assist with pediatric cases
• Wears hospital-provided scrub attire while on duty
• Works in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluids
• Works in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factors

ROUTINE RESPONSIBILITIES

Behavioral Expectations

• Consistently complies with established Behavioral Expectations

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RN Duties – Assessment/Planning

• Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patient’s physiological health status during the intraoperative period
• Assesses psychological, sociocultural, and spiritual status on admission to the operating room
• Identifies nursing diagnoses appropriate to the intraoperative and postoperative period
• Plans care based on the patient’s problems/needs in the assessment
• Plans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeon’s preference cards; and by coordinating activities of other disciplines to implement individual plan of care
• Initiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referral

RN Duties – Implementation/Evaluation

• Implements perioperative nursing care according to an established plan of care and operating room policies and procedures
• Supervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goals
• Scrubs and/or circulates simple as well as complex surgical and endoscopy procedures
• Evaluates the effectiveness of the care provided
• Communicates and perioperative nursing care
• Designs, implements, and evaluates systems to improve the quality of perioperative nursing patient care
• Assumes on-call for department

RN Duties – Post Anesthesia Recovery

• Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriately
• Monitors cardiac system of post-op patient
• Identifies arrhythmias and evidence of shock, intervening appropriately when necessary
• Utilizes PAR scoring system to determine patient status toward post-anesthesia recovery
• Demonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record)

Varies as needed